3-Vendors Statement Pursuant to KRS45A.343 Page - UPLOAD.pdf
PDF 174 KB Posted
- Attached to
- Data Center Refresh
- Solicitation number
- 4438
- Issued by
- Daviess County, Kentucky
About this file
This is a vendor compliance statement form required by the City of Owensboro, Kentucky, pursuant to Kentucky Revised Statute (KRS) 45A.343, which allows local public agencies to adopt provisions requiring contractors to disclose violations and maintain compliance with specified state statutes. The form requires vendors to certify compliance with various Kentucky statutes including corporate taxes (KRS 136), sales and use taxes (KRS 139), income taxes (KRS 141), wage and hour laws (KRS 337), occupational safety (KRS 338), unemployment insurance (KRS 341), and workers' compensation (KRS 342). The document is dated for completion in 2025 and requires signature by a duly authorized company officer.
The form establishes that vendors must certify they have not been finally determined to have violated any of the specified statutes within the five years preceding the statement and acknowledge they will maintain compliance throughout the contract duration. Failure to disclose violations or maintain compliance gives the City of Owensboro grounds to cancel the contract and disqualify the vendor from future city contracts for a two-year period. The document includes spaces for company name, authorized officer signature, title, and date, and provides contact information for the City's Purchasing Department at 270-687-8431.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-Exceptions Page - UPLOAD.pdf | ||
| 10-RFP 4438 - Addendum 3.pdf | ||
| 4-RFP 4438 - Data Center Refresh - Final.pdf | ||
| 6-RFP 4438 - Addendum 2.xlsx | XLSX spreadsheet | |
| 8-RFP 4438 - RVTools Spreadsheet.xlsx | XLSX spreadsheet | |
| 9-RFP 4438 - Topology Diagram.pdf | ||
| 7-RFP 4438 - Data Center Inventory.csv | CSV file | |
| 11-RFP 4438 - IT Floor Plan.pdf | ||
| 2-Statement Required Pursuant to KRS45A.395 Page - UPLOAD.pdf | ||
| 5-RFP 4438 - Addendum 1.pdf |
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Text version
VENDOR’S STATEMENT PURSUANT TO KRS45A.343
45A.343 Local Public Agency may adopt provisions of KRS 45A.345 to 45A.460— Effect of adoption – Contracts required to mandate revealing of violations of and compliance with specified KRS chapters – Effect of nondisclosure or noncompliance.
(KRS 136 – Corporate taxes; KRS 139 – Sales & use taxes; KRS 141 – Income taxes;
KRS 337 – Wage and hour; KRS 338 – Occupational safety; KRS 341 – Unemployment;
KRS 342 – Workers Comp.)
The undersigned, as a duly authorized officer of ______________________________________ pursuant to KRS45A.343 states;
1. To the best of my knowledge, information and belief, ____________________________ has not been finally determined to have violated any of the provisions of KRS Chapters
136, 139, 141, 337, 338, 341, or 342 that apply to it within the five year period preceding this statement.
2. __________________________________________ acknowledges that it will be required to be in compliance with those provisions of KRS Chapters 136, 139, 141, 337, 338, 341, and 342 that apply to it for the duration of the Contract to be entered into with the City of Owensboro, Kentucky.
3. __________________________________________ acknowledges that if it fails to reveal any final determination of violation of KRS Chapters 136, 139, 141, 337, 338, 341, or 342, or to comply with the applicable provisions of those statutes for the duration of the aforesaid Contract, such shall be grounds for The City of Owensboro, Kentucky to:
a. Cancel its contract with___________________________________________, and
b. Disqualify _______________________________________________from eligibility for future contracts awarded by The City of Owensboro for a period of two years.
This _______ day of _____________________, 2025.
Company Name: ________________________________________________
By: ___________________________________________________________
Signature: _____________________________________________________
Title: ________________________________________________________
| The undersigned as a duly authorized officer of: |
| To the best of my knowledge information and belief: |
| 2: |
| 3: |
| Cancel its contract with: |
| Disqualify: |
| This: |
| day of: |
| Company Name: |
| By: |
| Title: |
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